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Updates in the Management of Refractory Ventricular Tachycardia or Ventricular Fibrillation Arrest

ACEP Now

2 Standard management for VT and VF involves the use of electrical defibrillation, high-quality chest compressions, and epinephrine. Initial guidelines defined “refractory” as VT or VF occurring despite three shocks from a cardiac defibrillator. Tips for use of dual sequence defibrillation 11 : Use the same model of defibrillator.

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REBEL Cast Ep113: Defibrillation Strategies for Refractory Ventricular Fibrillation

REBEL EM

Background Information: Double external defibrillation (DED) is an intervention often used to treat refractory ventricular fibrillation (RVF). This procedure involves applying another set of pads attached to a second defibrillator to a patient and shocking them in hopes of terminating the rhythm. N Engl J Med.

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Hypothermic Cardiac Arrest: Pearls and Pitfalls

EMDocs

The patient received 1 mg of epinephrine IV x2 with conversion of his rhythm to ventricular fibrillation (VF) for which he was defibrillated twice in the field. The patient is moved over to the stretcher and connected to the monitors and defibrillator. ASAIO Journal: February 2022 – Volume 68 – Issue 2 – p 153-162.

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Calcium in Out-of-Hospital Cardiac Arrest

NAEMSP

CPR is taken over by responding crews, and he is placed on a cardiac monitor/defibrillator. After several cycles of defibrillation, epinephrine, and amiodarone, the patient remains in cardiac arrest. Vallentin, Povlsen, Granfeldt, Terkelsen, & Andersen, 2022). He is found to be in ventricular fibrillation (VF).

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On the Scene: Prehospital Care for Electrical Burns for EMTs

EMT Training Station

Rapid Assessment and Advanced Life Support Upon arrival at the scene, our immediate focus is on assessing the victim’s airway, breathing, and circulation. In cases of severe electrical burns, victims may require advanced life support, which includes securing the airway and providing assisted ventilation.

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Hypothermia at 18 Celsius in V Fib arrest: CPR, then ECMO rewarming, for 3 hours, then Defib with ROSC. Interpret the ECG.

Dr. Smith's ECG Blog

The patient was put on Extracorporeal Life Support in the ED 3 hours after initial resuscitation, the core temp was 30° C and the patient was defibrillated with a single attempt. On arrival, CPR was continued and core temperature was measured at 18° C (64.4° In all leads, there is a 2nd wave after the initial QRS.

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Chagas Disease

Core EM

One randomized control trial by showed that in patients with ventricular arrhythmias, an implantable cardioverter-defibrillator plus amiodarone may reduce sudden cardiac death and CHF exacerbations/hospitalizations when compared with amiodarone alone. Accessing anti-trypanosomal drugs in the U.S. Retrieved from [link] Gali, W. Sarabanda, A.